MEDICARE: MS. MARGARET PEGGY CARTER MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT0110	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	133020	OTHER		COMPSYCH
2	A847534	OTHER		VALUE OPTIONS

General Provider Information

NPI Number	:	1942377205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET PEGGY CARTER MFT

Provider Business Mailing Address
First Line	:	6550 S PECOS RD
Second Line	:	#B-127
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:	702-226-3516
Fax Number	:	702-898-0465

Provider Business Practice Location Address
First Line	:	6550 S PECOS RD
Second Line	:	#B-127
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:	702-226-3516
Fax Number	:	702-898-0465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

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